Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-10-13-16

Project Information

Project IdentifiersProject ID: 212657
DEA: 024G5004
EFIS: 0214000031
DIST-CO-RTE-PM02-TRI-299-1.9-2.3
Award Date10/01/2019
Closeout Date11/24/2021
Work DescriptionVIADUCT WIDENING
Location DescriptionTRINITY COUNTY NEAR SALYER FROM 0.1 MILE EAST TO 0.6 MILE EAST OF WHITE HOUSE GULCH ROAD
QA Service Level1 (Verified on 09/04/2018)

Sample Information

Sample Taken Date10/13/2020 Sample Unique Key16
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/23/2020
Sample typeQuality Assurance A brief description of the sampleAB PG 64-28M No Test #2, #3(885337)
The quantity of what the sample constitutes1 can From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Benicia Transportation Laboratory (TL) Number037260
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number
Sublot number Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments